Depression and parkinsonism in older Europeans: results from the EURODEP concerted action
Identifieur interne : 000A74 ( Main/Curation ); précédent : 000A73; suivant : 000A75Depression and parkinsonism in older Europeans: results from the EURODEP concerted action
Auteurs : Arjan W. Braam [Pays-Bas] ; Aartjan T. F. Beekman [Pays-Bas] ; Michael E. Dewey [Royaume-Uni] ; Philippe A. E. G. Delespaul [Pays-Bas] ; Manfred Fichter [Allemagne] ; Antonio Lobo [Espagne] ; Hallgrímur Magnússon [Islande] ; Karine Pérès [France] ; Friedel M. Reischies [Allemagne] ; Marc Roelands [Belgique] ; Pedro Saz [Espagne] ; Robert A. Schoevers [Pays-Bas] ; Ingmar Skoog [Suède] ; John R. M. Copeland [Royaume-Uni]Source :
- International Journal of Geriatric Psychiatry [ 0885-6230 ] ; 2010-07.
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Abstract
Objective: The prevalence rate of depression among patients with Parkinson's disease (PD) has been estimated at 25%, although prevalence figures range between 7–76%. Relatively few studies on PD and depression are based on random samples in the general population. Some depressive symptoms can also be understood as symptoms of parkinsonism, and the current study aims to describe which ‘overlap’ symptoms can be identified in a community sample. Methods: Data are employed from the EURODEP collaboration. Nine study centres, from eight western European countries, provided data on depression (most GMS‐AGECAT), depressive symptoms (EURO‐D items and anxiety), parkinsonism (self‐report of PD or clinical signs of PD), functional disability and dementia diagnosis. Results: Data were complete for 16 313 respondents, aged 65 and older; 306 (1.9%) reported or had signs of parkinsonism. The rate of depression was about twice as high among respondents with parkinsonism (unadjusted Odds Ratio 2.44, 95% Confidence Interval 1.88–3.17), also among those without functional disability. ‘Overlap’ symptoms between parkinsonism and depression, were represented by motivation and concentration problems, appetite problems and especially the symptom of fatigue (energy loss). However, principal component analysis showed that these ‘overlap’ symptoms loaded on different factors of the EURO‐D scale. Conclusions: As among clinical patients with PD, depression is highly common in community dwelling older people with parkinsonism, even among those without functional disability. Although fatigue did not strongly relate to motivational symptoms, both types of ‘overlap’ symptoms possibly trigger a final common pathway towards a full depressive syndrome. Copyright © 2009 John Wiley & Sons, Ltd.
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DOI: 10.1002/gps.2407
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Braam</name><affiliation wicri:level="1"><mods:affiliation>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam, the Netherlands</mods:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Altrecht Mental Health Care, Department of Emergency Psychiatry, Utrecht, the Netherlands</mods:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Altrecht Mental Health Care, Department of Emergency Psychiatry, Utrecht</wicri:regionArea></affiliation></author><author><name sortKey="Beekman, Aartjan T F" sort="Beekman, Aartjan T F" uniqKey="Beekman A" first="Aartjan T. F." last="Beekman">Aartjan T. F. 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Braam</name><affiliation wicri:level="1"><mods:affiliation>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam, the Netherlands</mods:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam</wicri:regionArea></affiliation><affiliation wicri:level="1"><mods:affiliation>Altrecht Mental Health Care, Department of Emergency Psychiatry, Utrecht, the Netherlands</mods:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Altrecht Mental Health Care, Department of Emergency Psychiatry, Utrecht</wicri:regionArea></affiliation></author><author><name sortKey="Beekman, Aartjan T F" sort="Beekman, Aartjan T F" uniqKey="Beekman A" first="Aartjan T. F." last="Beekman">Aartjan T. F. Beekman</name><affiliation wicri:level="1"><mods:affiliation>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam, the Netherlands</mods:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Dewey, Michael E" sort="Dewey, Michael E" uniqKey="Dewey M" first="Michael E." last="Dewey">Michael E. Dewey</name><affiliation wicri:level="1"><mods:affiliation>Institute of Psychiatry, Section of Epidemiology, King's College London, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Institute of Psychiatry, Section of Epidemiology, King's College London</wicri:regionArea></affiliation></author><author><name sortKey="Delespaul, Philippe A E G" sort="Delespaul, Philippe A E G" uniqKey="Delespaul P" first="Philippe A. E. G." last="Delespaul">Philippe A. E. G. Delespaul</name><affiliation wicri:level="1"><mods:affiliation>Department of Psychiatry/Neuropsychology, Social Psychiatry and Psychiatric Epidemiology, University of Maastricht, the Netherlands</mods:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Psychiatry/Neuropsychology, Social Psychiatry and Psychiatric Epidemiology, University of Maastricht</wicri:regionArea></affiliation></author><author><name sortKey="Fichter, Manfred" sort="Fichter, Manfred" uniqKey="Fichter M" first="Manfred" last="Fichter">Manfred Fichter</name><affiliation wicri:level="1"><mods:affiliation>Roseneck Hospital, Ludwig Maximilians Universität, München, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Roseneck Hospital, Ludwig Maximilians Universität, München</wicri:regionArea></affiliation></author><author><name sortKey="Lobo, Antonio" sort="Lobo, Antonio" uniqKey="Lobo A" first="Antonio" last="Lobo">Antonio Lobo</name><affiliation wicri:level="1"><mods:affiliation>Servicio de Psiquiatría, Hospital Clínico Universitario and Universidad de Zaragoza, Instituto Aragonés de Ciencias de la Salud and CIBERSAM, Instituto de Salud Carlos III, Spain</mods:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Servicio de Psiquiatría, Hospital Clínico Universitario and Universidad de Zaragoza, Instituto Aragonés de Ciencias de la Salud and CIBERSAM, Instituto de Salud Carlos III</wicri:regionArea></affiliation></author><author><name sortKey="Magnusson, Hallgrimur" sort="Magnusson, Hallgrimur" uniqKey="Magnusson H" first="Hallgrímur" last="Magnússon">Hallgrímur Magnússon</name><affiliation wicri:level="1"><mods:affiliation>Department of Geriatrics, Landakotsspítali, Reykjavík, Iceland</mods:affiliation><country xml:lang="fr">Islande</country><wicri:regionArea>Department of Geriatrics, Landakotsspítali, Reykjavík</wicri:regionArea></affiliation></author><author><name sortKey="Peres, Karine" sort="Peres, Karine" uniqKey="Peres K" first="Karine" last="Pérès">Karine Pérès</name><affiliation wicri:level="1"><mods:affiliation>Inserm U897, Université Victor Segalen Bordeaux 2, France</mods:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Inserm U897, Université Victor Segalen Bordeaux 2</wicri:regionArea></affiliation></author><author><name sortKey="Reischies, Friedel M" sort="Reischies, Friedel M" uniqKey="Reischies F" first="Friedel M." last="Reischies">Friedel M. Reischies</name><affiliation wicri:level="1"><mods:affiliation>Department of Psychiatry and Psychotherapy, Charité University Medicine Berlin, Germany</mods:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Psychiatry and Psychotherapy, Charité University Medicine Berlin</wicri:regionArea></affiliation></author><author><name sortKey="Roelands, Marc" sort="Roelands, Marc" uniqKey="Roelands M" first="Marc" last="Roelands">Marc Roelands</name><affiliation wicri:level="1"><mods:affiliation>Scientific Institute of Public Health, Department of Epidemiology, Brussels, Belgium</mods:affiliation><country xml:lang="fr">Belgique</country><wicri:regionArea>Scientific Institute of Public Health, Department of Epidemiology, Brussels</wicri:regionArea></affiliation></author><author><name sortKey="Saz, Pedro" sort="Saz, Pedro" uniqKey="Saz P" first="Pedro" last="Saz">Pedro Saz</name><affiliation wicri:level="1"><mods:affiliation>Universidad de Zaragoza, Instituto Aragonés de Ciencias de la Salud and CIBERSAM, Instituto de Salud Carlos III, Spain</mods:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Universidad de Zaragoza, Instituto Aragonés de Ciencias de la Salud and CIBERSAM, Instituto de Salud Carlos III</wicri:regionArea></affiliation></author><author><name sortKey="Schoevers, Robert A" sort="Schoevers, Robert A" uniqKey="Schoevers R" first="Robert A." last="Schoevers">Robert A. Schoevers</name><affiliation wicri:level="1"><mods:affiliation>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam, the Netherlands</mods:affiliation><country xml:lang="fr" wicri:curation="lc">Pays-Bas</country><wicri:regionArea>Department of Epidemiology and Biostatistics, Department of Psychiatry, Vrije Universiteit Amsterdam</wicri:regionArea></affiliation></author><author><name sortKey="Skoog, Ingmar" sort="Skoog, Ingmar" uniqKey="Skoog I" first="Ingmar" last="Skoog">Ingmar Skoog</name><affiliation wicri:level="1"><mods:affiliation>Institute of Clinical Neurosciences, Sahlgrenska University Hospital, Göteborg, Sweden</mods:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Institute of Clinical Neurosciences, Sahlgrenska University Hospital, Göteborg</wicri:regionArea></affiliation></author><author><name sortKey="Copeland, John R M" sort="Copeland, John R M" uniqKey="Copeland J" first="John R. M." last="Copeland">John R. M. Copeland</name><affiliation wicri:level="1"><mods:affiliation>Section of Old Age Psychiatry, Department of Psychiatry, University of Liverpool, UK</mods:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Section of Old Age Psychiatry, Department of Psychiatry, University of Liverpool</wicri:regionArea></affiliation></author></analytic><monogr></monogr><series><title level="j">International Journal of Geriatric Psychiatry</title><title level="j" type="abbrev">Int. J. Geriat. Psychiatry</title><idno type="ISSN">0885-6230</idno><idno type="eISSN">1099-1166</idno><imprint><publisher>John Wiley & Sons, Ltd.</publisher><pubPlace>Chichester, UK</pubPlace><date type="published" when="2010-07">2010-07</date><biblScope unit="volume">25</biblScope><biblScope unit="issue">7</biblScope><biblScope unit="page" from="679">679</biblScope><biblScope unit="page" to="687">687</biblScope></imprint><idno type="ISSN">0885-6230</idno></series><idno type="istex">084A64A3327B34FC85355A4A3E18B22592041720</idno><idno type="DOI">10.1002/gps.2407</idno><idno type="ArticleID">GPS2407</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-6230</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson</term><term>community</term><term>depression</term><term>disability</term><term>epidemiology</term><term>parkinsonism</term><term>symptoms</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: The prevalence rate of depression among patients with Parkinson's disease (PD) has been estimated at 25%, although prevalence figures range between 7–76%. Relatively few studies on PD and depression are based on random samples in the general population. Some depressive symptoms can also be understood as symptoms of parkinsonism, and the current study aims to describe which ‘overlap’ symptoms can be identified in a community sample. Methods: Data are employed from the EURODEP collaboration. Nine study centres, from eight western European countries, provided data on depression (most GMS‐AGECAT), depressive symptoms (EURO‐D items and anxiety), parkinsonism (self‐report of PD or clinical signs of PD), functional disability and dementia diagnosis. Results: Data were complete for 16 313 respondents, aged 65 and older; 306 (1.9%) reported or had signs of parkinsonism. The rate of depression was about twice as high among respondents with parkinsonism (unadjusted Odds Ratio 2.44, 95% Confidence Interval 1.88–3.17), also among those without functional disability. ‘Overlap’ symptoms between parkinsonism and depression, were represented by motivation and concentration problems, appetite problems and especially the symptom of fatigue (energy loss). However, principal component analysis showed that these ‘overlap’ symptoms loaded on different factors of the EURO‐D scale. Conclusions: As among clinical patients with PD, depression is highly common in community dwelling older people with parkinsonism, even among those without functional disability. Although fatigue did not strongly relate to motivational symptoms, both types of ‘overlap’ symptoms possibly trigger a final common pathway towards a full depressive syndrome. Copyright © 2009 John Wiley & Sons, Ltd.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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